LUKE STEWART WALLIS (MD) – Dermatology Physician, NPI 1144724717
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,284 DERMATOLOGY in TX
Provider Addresses for LUKE STEWART WALLIS (MD)
3535 N FOURTH ST STE 400
LONGVIEW, TX 756050038
Phone: (903) 757-3881
Fax: (903) 757-5948
Type: Mailing
520, East 19th Avenue, North Capitol Hill, Denver, Denver County, Colorado, 80203, United States
DENVER, CO 802181243
Phone: (303) 869-2278
Fax: (303) 869-2258
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 136 Open Payments records for all available years, with a total value of $2,790.
Total Amount is formed as General ($2,790) + Research ($0) + Ownership ($0) = $2,790.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($588).
Total Amount
$2,790
General + Research + Ownership
Payments
136
Total payment records
General Amount
$2,790
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $588 |
| GENZYME CORPORATION | $418 |
| Regeneron Healthcare Solutions, Inc. | $310 |
| Kerecis Limited | $210 |
| SUN PHARMACEUTICAL INDUSTRIES INC. | $113 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2023-06-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230606003333 | I | Dermatology | TX | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J7345 | Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg | 4,400 | 17 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 597 | 134 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 181 | 170 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 170 | 142 | $0 |
| 17311 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks | 132 | 112 | $0 |
Insurance plans in this area (ZIP 75605)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TX | |
| D E R M A T O L O G Y | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| D E R M A T O L O G Y | TX | |
| Nurse Practitioner | TX | |
| Physician Assistant | TX | |
| D E R M A T O L O G Y | TX | |
| D E R M A T O L O G Y | TX |
Reviews
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